NPI | 1053648329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA RN493554) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP9211) |
Enumeration Date | 2009-11-07 |
Last Update Date | 2009-11-07 |